Individual provider Active NPI

Sandy Kashani Lari, OPTOMETRIST

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1437232584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11437T Issued in CA
Practice address
1314 Westwood BVLD
Suite # 107
Los Angeles, CA 90024-4902
Phone
(310) 234-8790
Fax
(310) 441-1609
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11437T CA Primary

Addresses

Primary practice location

1314 Westwood BVLD
Suite # 107
Los Angeles, CA 90024-4902

Mailing address

11680 Montana Ave Apt 308
Los Angeles, CA 90049-4648
Phone (310) 207-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11437TCAMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437232584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 MONTANA AVE APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494648",
            "telephone_number": "310-207-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 WESTWOOD BVLD",
            "address_2": "SUITE # 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244902",
            "telephone_number": "310-234-8790",
            "fax_number": "310-441-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARI",
        "first_name": "SANDY",
        "middle_name": "KASHANI",
        "name_prefix": "Mrs.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11437T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.